MEDICARE: SEEWAN AUYEUNG PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	047275	NY

General Provider Information

NPI Number	:	1184924284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEEWAN AUYEUNG PHARMD

Provider Business Mailing Address
First Line	:	2000 GALLOPING HILL RD
Second Line	:
City	:	KENILWORTH
State	:	NJ
Zip	:	07033-1310
Country	:	US
Telephone Number	:	908-740-4113
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 GALLOPING HILL RD
Second Line	:
City	:	KENILWORTH
State	:	NJ
Zip	:	07033-1310
Country	:	US
Telephone Number	:	908-740-4113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2010
Last Update Date	:	10/24/2010

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